Department of Orthopaedics, Chinese PLA General Hospital, Beijing, P.R. China.
Tissue Eng Part A. 2009 Dec;15(12):3971-8. doi: 10.1089/ten.tea.2009.0052.
OBJECTIVE: Significant difficulties are caused by the delayed union of femoral neck fractures. To address this issue, we designed a new device that applies recombinant human bone morphogenetic protein-2 (rhBMP-2) to promote fracture union. METHODS: A cannulated screw with holes was used to deliver rhBMP-2 to the fracture site. Fibrin glue was used as an adhesive agent to hold rhBMP-2 in the vicinity of fracture. RhBMP-2 was protected with polylactide-glycolide acid microspheres. RhBMP-2 release was evaluated to determine the effect of the improved screws. RESULT: When polylactide-glycolide acid microspheres were used, 3.65% of the rhBMP-2 was released in the first 2 h, 5.17% was released within 8 h, and 8.95% was released within 24 h. In the microsphere + fibrin glue group, 1.15% of the rhBMP-2 was released in the first 2 h, 1.75% was released within 8 h, and 6.68% was released within 24 h. Over 42 days, about 76.75% of the rhBMP-2 was released when using fibrin glue, which was lower than the amount released using microspheres alone (91.75%). In dog, a faster repair rate was observed on the side with the improved screw than on the side with traditional screw. CONCLUSION: The directional release system described here can improve the process of fracture healing and is a promising technique for repairing femoral neck fracture.
目的:股骨颈骨折延迟愈合会带来严重的问题。为了解决这个问题,我们设计了一种新的装置,通过应用重组人骨形态发生蛋白-2(rhBMP-2)来促进骨折愈合。
方法:采用带孔的空心螺钉将 rhBMP-2 输送到骨折部位。纤维蛋白胶作为黏合剂将 rhBMP-2 固定在骨折附近。使用聚乳酸-羟基乙酸微球来保护 rhBMP-2。评估 rhBMP-2 的释放情况,以确定改进后的螺钉的效果。
结果:当使用聚乳酸-羟基乙酸微球时,rhBMP-2 在最初的 2 小时内释放了 3.65%,在 8 小时内释放了 5.17%,在 24 小时内释放了 8.95%。在微球+纤维蛋白胶组中,rhBMP-2 在最初的 2 小时内释放了 1.15%,在 8 小时内释放了 1.75%,在 24 小时内释放了 6.68%。在使用纤维蛋白胶的情况下,超过 42 天,约有 76.75%的 rhBMP-2 被释放,低于单独使用微球时(91.75%)的释放量。在狗的实验中,使用改进后的螺钉的一侧的修复速度比使用传统螺钉的一侧更快。
结论:这里描述的定向释放系统可以改善骨折愈合过程,是修复股骨颈骨折的一种有前途的技术。
Hua Xi Kou Qiang Yi Xue Za Zhi. 2003-12
AAPS PharmSciTech. 2001-10-7